Drospirenone/ethinyl estradiol/levomefolate (Beyaz) is an expensive drug used to prevent pregnancy. This drug is more popular than comparable drugs. There are currently no generic alternatives to Beyaz. It is not covered by most Medicare and insurance plans, but manufacturer and pharmacy coupons can help offset the cost. Compare estrogen / progestin / folate combinations.

Medications that increase health care costs without improving care are silly, and doctors love to hate ‘em. “PharManure” is the brilliant term used to describe these medications. Here is a list my colleagues and I love to hate:

Some of the newer popular birth control pills with a different type of progesterone are associated with an increased risk of blood clot in the leg. You need to care about this, not just because you have seen TV commercials and warning ads, but because a blood clot – deep venous thrombosis (DVT) – can break off and travel to the lung where it is called a pulmonary embolism. That can be fatal. There is also a question of increased risk of clots in arteries with these birth control pills, which can lead to cardiovascular events. See More

Today I saw a 24-year-old patient who landed her first job a year ago. Her OB/GYN had prescribed Beyaz as an oral contraceptive for her and she was paying $95 a month to fill it, she told me with tears in her eyes. “Are there other options?” she asked. Oh yeah, there are.

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